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ABSTRACT: Background
The design complexity of critical care ventilators (CCVs) can lead to use errors and patient harm. In this study, we present the results of a comparison of four CCVs from market leaders, using a rigorous methodology for the evaluation of use safety and user experience of medical devices.Methods
We carried out a comparative usability study of four CCVs: Hamilton G5, Puritan Bennett 980, Maquet SERVO-U, and Dräger Evita V500. Forty-eight critical care respiratory therapists participated in this fully counterbalanced, repeated measures study. Participants completed seven clinical scenarios composed of 16 tasks on each ventilator. Use safety was measured by percentage of tasks with use errors or close calls (UE/CCs). User experience was measured by system usability and workload metrics, using the Post-Study System Usability Questionnaire (PSSUQ) and the National Aeronautics and Space Administration Task Load Index (NASA-TLX).Results
Nine of 18 post hoc contrasts between pairs of ventilators were significant after Bonferroni correction, with effect sizes between 0.4 and 1.09 (Cohen's d). There were significantly fewer UE/CCs with SERVO-U when compared to G5 (p?=?0.044) and V500 (p?=?0.020). Participants reported higher system usability for G5 when compared to PB980 (p?=?0.035) and higher system usability for SERVO-U when compared to G5 (p?ConclusionsThis study provides empirical evidence of how four ventilators from market leaders compare and highlights the importance of medical technology design. Within the boundaries of this study, we can infer that SERVO-U demonstrated the highest levels of use safety and user experience, followed by G5. Based on qualitative data, differences in outcomes could be explained by interaction design, quality of hardware components used in manufacturing, and influence of consumer product technology on users' expectations.
SUBMITTER: Morita PP
PROVIDER: S-EPMC4992292 | biostudies-literature | 2016 Aug
REPOSITORIES: biostudies-literature
Morita Plinio P PP Weinstein Peter B PB Flewwelling Christopher J CJ Bañez Carleene A CA Chiu Tabitha A TA Iannuzzi Mario M Patel Aastha H AH Shier Ashleigh P AP Cafazzo Joseph A JA
Critical care (London, England) 20160820
<h4>Background</h4>The design complexity of critical care ventilators (CCVs) can lead to use errors and patient harm. In this study, we present the results of a comparison of four CCVs from market leaders, using a rigorous methodology for the evaluation of use safety and user experience of medical devices.<h4>Methods</h4>We carried out a comparative usability study of four CCVs: Hamilton G5, Puritan Bennett 980, Maquet SERVO-U, and Dräger Evita V500. Forty-eight critical care respiratory therapi ...[more]